| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,277.00 | $5,549.00 | $11,100.08 | |
Hally Health
| Professional | $795.87 | $1,231.47 | $2,869.76 | |
Medica
| Facility | $981.27 | $1,960.29 | $7,305.00 | |
Medica
| Facility | AS | $373.61 | $373.61 | $373.61 |
Midlands
| Facility | $1,293.84 | $1,870.36 | $2,538.27 | |
United
| Facility | $2,126.00 | $5,847.00 | $7,305.00 |